SUE ANN HIGINBOTHAM


Address: 13140 W El Lobo Rd, Tucson, AZ 85743-9390
Phone: 6083959653

SUE ANN HIGINBOTHAM (NPI# 1336553601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336553601
Entity Type Individual
Full Name SUE ANN HIGINBOTHAM
Credential RN
Practice Address 13140 W El Lobo Rd
Tucson
AZ 85743-9390
Practice Telephone 6083959653
Mailing Telephone 6083959653
Enumeration Date 2014-06-16
Last Update Date 2014-06-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WG0000X Registered Nurse
Specialization: General Practice
174788-30 WI Nursing Service Providers
Y 163WG0000X Registered Nurse
Specialization: General Practice
TRN185728 AZ Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ RN TRN185728 01
WI RN 174788-30 01
AZ NPI SEPONE2010 01

Office Location

Street Address 13140 W EL LOBO RD
City TUCSON
State AZ
Zip Code 85743-9390

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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City TUCSON
Zip Code 85743

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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